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Cookeville Regional Medical Group, Inc
Nurse Practitioner in Cookeville, Tennessee
NPI 1649202102

Cookeville Regional Medical Group, Inc is a Nurse Practitioner based in Belfast, TN. Cookeville Regional Medical Group, Inc practices in Cookeville, TN. The NPI Number for Cookeville Regional Medical Group, Inc is 1649202102 and holds a License No. (Tennessee).

The current practice location address for Cookeville Regional Medical Group, Inc is 140 W 7Th St, Cookeville, TN and can be reached out via phone at 931-783-5582. You can also correspond with Cookeville Regional Medical Group, Inc through the mailing address at PO BOX 15060, BELFAST, ME - 04915-4045 (mailing address contact number: 931-783-5857).

Location: 140 W 7Th St, Cookeville, TN, 04915-4045
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649202102
Provider Name
Cookeville Regional Medical Group, Inc
Credential
Provider Entity Type
Organization
Address
140 W 7Th St, Cookeville, TN, 04915-4045
Phone Number
931-783-5582
Fax Number
Provider Enumeration Date
07/07/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3727506 01 MEDICARE GROUP PTAN
institution
Provider Business Practice Location Address Details
Address
140 W 7Th St
City
Cookeville
State
Tennessee
Zip
38501-1726
Phone Number
931-783-5582
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 15060
City
Belfast
State
Maine
Zip
04915-4045
Phone Number
931-783-5857
Fax Number
931-526-6760
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
(Tennessee)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
(Tennessee)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
(Tennessee)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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